Case Manager - Pathways to Health
Case Manager - Pathways to Health
St Catherine's Center for Children offers a comprehensive range of programs designed to offer hope, foster growth, and improve the lives of the children and families we serve.
DESCRIPTION
The Case Manager is responsible for providing Outreach & Engagement in communities to
locate and connect and/or reconnect members to primary care physicians. Once engaged the case
manager will refer to Health Homes for care coordination when appropriate and assist as needed
to ensure the family/individual successfully engages in primary care. Serving Albany, Rensselaer
and Columbia/ County
Duties/ Responsibilities:
- Conduct Outreach & Engagement through engaging communities identified by BHNNY to connect or reconnect to primary care
- Assist families or Individuals in;
- Enrolling in Health Insurance
- Connecting to a Primary Care Physician. Attending the appointment with family or individual until a Care
- Coordinator is identified
- Ensure family or individual has prescriptions for medication and it is filled
- Other activities include addressing the Social Determinants of Health which include;
- Health & Healthcare
- Economic Stability
- Social & Community Context
- Neighborhood & Environment
- Education
- The Case Manager will be responsible for collecting and ensuring data is entered
- Assist with completing Coordinated Entry Applications when appropriate
- Complete a Social determinant of Health checklist at baseline and 6 months
- Meet with families/individuals to assist them with health plan goals; follow up with families/individuals and /or service providers as needed to ensure healthcare plans goals are being accomplished; act responsibly in providing information and empower clients to identify choices in their daily lives.
- Meet independently with families/individuals to assess needs and strengths
- Establish and maintain professional working relationships with families/individuals, maintain appropriate personal boundaries; establish and maintain professional working relationships with staff members in accordance with all agency procedures, policies and practices
- Develop service health care goals for families/Individuals. Empower clients to identify choices in their daily life by providing necessary information.
- Act as the primary advocate
- Assist families/individuals in obtaining necessary services needed to retain permanent housing (e.g. mental health services, education and employment services, substance abuse services)
- Assist in identifying and resolving barriers to housing retention by securing needed rehabilitative and/or supportive care, day care
- Act as the primary liaison for the family when communicating with public assistance and other resource providers.
- Provide transportation to medical, social services and apartment search when appropriate for families
- Document interactions with families using critical incident reports, assessment forms progress note section of case file, log and service plans
- Intervene in crisis situations and assist with conflict resolution as needed by providing mediation and facilitating communication, especially between landlord and tenant
- Participate in professional development programming on a regular basis
- Respect the rights of others and protect all confidential information
- Clearly communicate concerns and suggestions to Program Director
- Actively contribute to the maintenance of 'client - supportive' and respectful interactions with clients
- Network with agency staff in the Collaborative and with other community agencies that will enable families to connect with the service delivery system
- Will have full and complete access to client Protected Health Information (PHI) in order to carry out the duties and responsibilities of this position.
- Additional position-related duties and responsibilities as assigned by the supervisor/director.
Organizational Relationships:
- Works under the direct supervision of the Program Director
- Works cooperatively with staff in the Collaborative agencies
- Maintain a team oriented, collaborative approach with all levels of shelter staff.
Position Specifications:
- One year of relevant experience preferred
- Demonstrated ability to work with clients and as a team member
- Clean and valid NYS driver's license
Essential Functions:
- Emotional stability with the capacity to separate personal issues from work related issues.
- Ability to maintain respect, support, and care for clients and fellow staff members
- Must be able to respond effectively and therapeutically in crisis situations
- Must possess excellent communication skills.
- Able to operate a motorized vehicle, with a clean NYS driver's license in order to transport clients to appointments as needed
- Ability to meet criteria as outlined in the Revised Policy for Agency Drivers.
- Ability to communicate by using telecommunications system as well as face to face.
- Ability to work hours beyond a regular workday including rotation of holidays
- Ability to exercise independent judgment and discretion.
- Ability to relate to and communicate with a wide range of people. This includes but is not limited to a broad range of people who are culturally and socio- economically diverse, as well as people with various developmental and functional levels.
- Ability to understand, communicate with, represent and carry out the mission, values, philosophy and policies of St. Catherine's Center for Children.
- Ability to conduct him/ herself in a manner that is becoming of an employee of St. Catherine's Center for Children.
- Ability to work effectively in a shared decision making model as a team member.
- Ability to carry out written documentation as required by St. Catherine's policies and procedures and as required by regulating agencies.
- Ability to organize and effectively manage (in a timely manner) the varied tasks of the position.
- Ability to work collaboratively with other personnel/ service providers or professionals.
- A commitment to empowering others to solve his/ her own problems.
- Valuing a nurturing family as the ideal environment for a person.
- A conviction about the capacity of people to grow and change.
- The ability to establish a respectful relationship with persons served to help them gain skills and confidence.
Requirements:
- BSW or Bachelor’s Degree in human service field preferred
- Two years of experience in case planning or case management preferred
REQ NUMBER HOM-20-00003
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.